ALEXANDRA ACQUAVIVA

FORT LEONARD WOOD, MO
NPI1336896364
Former NameALEXANDRA BERTHIAUME
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101279768)
Enumeration Date2022-03-09
Last Update Date2025-10-02
Business Address
ALEXANDRA ACQUAVIVA MD
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0417
Mailing Address
ALEXANDRA ACQUAVIVA MD
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0417
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